Entity Referral Analysis

DescriptionReferral Analysis tracks inbound and outbound, as well as intra-system, referrals by reason code. It also calculates revenue leakage due to outbound referrals correlated to that reason code.

Attributes
Average Revenue Leakage AmountAverage Revenue Leakage Amount
Healthcare Insurer DkHealthcare Insurer Dk
Number Of Acceptable Outbound ReferralsNumber Of Acceptable Outbound Referrals
Number Of Inbound ReferralsNumber Of Inbound Referrals
Number Of Intra System ReferralsNumber Of Intra System Referrals
Number Of Outbound ReferralsNumber Of Outbound Referrals
Number Of Unacceptable Outbound ReferralsNumber Of Unacceptable Outbound Referrals
Origination Calendar DkOrigination Calendar Dk
Patient DkPatient Dk
Percentage Acceptable Outbound ReferralsPercentage Acceptable Outbound Referrals
Percentage Unacceptable Outbound ReferralsPercentage Unacceptable Outbound Referrals
Performed Calendar DkPerformed Calendar Dk
Performing Encounter DkPerforming Encounter Dk
Performing Organization Specialty DkPerforming Organization Specialty Dk
Performing Practitioner DkPerforming Practitioner Dk
Performing Practitioner Specialty DkPerforming Practitioner Specialty Dk
Performing Provider DkPerforming Provider Dk
Procedure Cost AmountProcedure Cost Amount
Referral Reason DkReferral Reason Dk
Referred Procedure Code DkReferred Procedure Code Dk
Referring Encounter DkReferring Encounter Dk
Referring Organization Specialty DkReferring Organization Specialty Dk
Referring Practitioner DkReferring Practitioner Dk
Referring Practitioner Specialty DkReferring Practitioner Specialty Dk
Referring Provider DkReferring Provider Dk
Relative Value Unit AmountRelative Value Unit Amount
Revenue Leakage AmountRevenue Leakage Amount

Relationship
Referral Analysis_Referring Provider Dimension_FKReferral Analysis_Referring Provider Dimension_FK
Referral Analysis_Healthcare Insurer Dimension_FKReferral Analysis_Healthcare Insurer Dimension_FK
Referral Analysis_Procedure Code Dimension_FKReferral Analysis_Procedure Code Dimension_FK
Referral Analysis_Origination Calendar Dimension_FKReferral Analysis_Origination Calendar Dimension_FK
Referral Analysis_Referral Reason Dimension_FKReferral Analysis_Referral Reason Dimension_FK
Referral Analysis_Performing Practitioner Dimension_FKReferral Analysis_Performing Practitioner Dimension_FK
Referral Analysis_Referring Organization Specialty Dimension_FKReferral Analysis_Referring Organization Specialty Dimension_FK
Referral Analysis_Performed Calendar Dimension_FKReferral Analysis_Performed Calendar Dimension_FK
Referral Analysis_Referring Encounter Dimension_FKReferral Analysis_Referring Encounter Dimension_FK
Referral Analysis_Performing Organization Specialty Dimension_FKReferral Analysis_Performing Organization Specialty Dimension_FK
Referral Analysis_Referring Practitioner Specialty Dimension_FKReferral Analysis_Referring Practitioner Specialty Dimension_FK
Referral Analysis_Performing Encounter Dimension_FKReferral Analysis_Performing Encounter Dimension_FK
Referral Analysis_Patient Dimension_FKReferral Analysis_Patient Dimension_FK
Referral Analysis_Performing Provider Dimension_FKReferral Analysis_Performing Provider Dimension_FK
Referral Analysis_Performing Practitioner Specialty Dimension_FKReferral Analysis_Performing Practitioner Specialty Dimension_FK
Referral Analysis_Referring Practitioner Dimension_FKReferral Analysis_Referring Practitioner Dimension_FK

Primary Key
Referral Analysis PKReferral Analysis PK

Dependencies
 

Reverse Dependencies
 

Attribute Details

 Average Revenue Leakage Amount
DescriptionThe average loss, per referral, of income to the healthcare organization due to patients being referred to a non-affiliated provider.

Formula: [A/B]
(see dependencies and their labels for measures used in the formula)
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Healthcare Insurer Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Number Of Acceptable Outbound Referrals
DescriptionOutbound referrals that are deemed acceptable because of the nature of or reason for the referral. An acceptable referral reason might be where the healthcare specialty required is only available in the facility to which the patient is being referred.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Number Of Inbound Referrals
DescriptionA count of all patient referrals where the referring practitioner is outside the healthcare organization and the performing practitioner is affiliated with the healthcare organization.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Number Of Intra System Referrals
DescriptionA count of all patient referrals where the referring practitioner and the performing practitioner are both affiliated with the healthcare organization.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Number Of Outbound Referrals
DescriptionA counts of all patient referrals where the referring practitioner is within the healthcare organization and the performing practitioner is not affiliated with the healthcare organization.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Number Of Unacceptable Outbound Referrals
DescriptionOutbound referrals that are not deemed acceptable because of the nature of or reason for the referral. An unacceptable referral reason might be where the patient had to be referred because a bed is not available or a practitioner with the required specialty is absent, suspended or otherwise unavailable.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Origination Calendar Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Patient Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Percentage Acceptable Outbound Referrals
DescriptionThe number of outbound referrals that are deemed acceptable expressed as a percentage of the total number of outbound referrals.

Formula: [(A/B)*100]
(see dependencies and their labels for measures used in the formula)
Data TypeStandards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Percentage Unacceptable Outbound Referrals
DescriptionThe number of outbound referrals that are deemed unacceptable expressed as a percentage of the total number of outbound referrals.

Formula: [(A/B)*100]
(see dependencies and their labels for measures used in the formula)
Data TypeStandards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Performed Calendar Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Performing Encounter Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Performing Organization Specialty Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Performing Practitioner Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Performing Practitioner Specialty Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Performing Provider Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Procedure Cost Amount
DescriptionThe monetary value of the referred procedure based on either the standard price or the contracted price with the healthcare insurer.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Referral Reason Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Referred Procedure Code Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Referring Encounter Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Referring Organization Specialty Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Referring Practitioner Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Referring Practitioner Specialty Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Referring Provider Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Relative Value Unit Amount
DescriptionThe fee for each service based on its relative value units (RVUs), which rank on a common scale the resources used to provide each service. These resources include the physician’s work, the expenses of the physician’s practice, and professional liability insurance. To determine the Medicare fee, a service’s RVUs are multiplied by a dollar conversion factor
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Revenue Leakage Amount
DescriptionThe monetary value of the procedure that is lost due to it being referred to a non-affiliated provider. The value is either the standard price or the contract price with the healthcare insurer.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Referral Analysis_Referring Provider Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Namereferring
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableProvider Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Healthcare Insurer Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableHealthcare Insurer Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Procedure Code Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Namereferred for
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableProcedure Code Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Origination Calendar Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameorigination
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableCalendar Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Referral Reason Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameprimary
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableReferral Reason Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Performing Practitioner Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameperforming
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TablePractitioner Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Referring Organization Specialty Dimension_FK
Is Identifying Relationshipfalse
Child TableReferral Analysis
Child Role Namereferring
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableOrganization Specialty Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Performed Calendar Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameperformed
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableCalendar Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Referring Encounter Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Namereferring
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableEncounter Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Performing Organization Specialty Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameperforming
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableOrganization Specialty Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Referring Practitioner Specialty Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Namereferring
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TablePractitioner Specialty Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Performing Encounter Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameperforming
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableEncounter Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Patient Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TablePatient Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Performing Provider Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameperforming
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableProvider Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Performing Practitioner Specialty Dimension_FK
Is Identifying Relationshiptrue
Child TableReferral Analysis
Child Role Nameperforming
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TablePractitioner Specialty Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Referral Analysis_Referring Practitioner Dimension_FK
Is Identifying Relationshipfalse
Child TableReferral Analysis
Child Role Namereferring
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TablePractitioner Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Referral Analysis PK
Key AttributePatient Dk
Key AttributeReferring Provider Dk
Key AttributeReferring Encounter Dk
Key AttributeReferring Practitioner Dk
Key AttributeHealthcare Insurer Dk
Key AttributeReferred Procedure Code Dk
Key AttributeReferral Reason Dk
Key AttributeReferring Organization Specialty Dk
Key AttributeReferring Practitioner Specialty Dk
Key AttributeOrigination Calendar Dk
Key AttributePerforming Practitioner Dk
Key AttributePerformed Calendar Dk
Key AttributePerforming Practitioner Specialty Dk
Key AttributePerforming Organization Specialty Dk
Key AttributePerforming Provider Dk
Key AttributePerforming Encounter Dk